NPI | 1154705770 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA BIVENS Revenue Cycle Manager 386-274-2977 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2015-07-14 |
Last Update Date | 2024-04-25 |